Evidence Based Guidelines For Nutritional Support Of The Critically Ill Results Of A Bi National Guideline Development Conference
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Evidence-Based Guidelines for Nutritional Support of the Critically Ill: Results of a Bi-National Guideline Development Conference
The purpose of this guidelines initiative was to develop or update and validate an evidence- based feeding guideline for critically ill patients. A widely accepted methodology was adopted, which requires the identification of previously developed and validated evidence-based guidelines. The process then specifies a methodology for identifying and assimilating evidence that may be used to change or update the previously validated guidelines. An extensive literature search was conducted (closeout date April 2003). Four hundred and sixty five full text papers were retrieved and reviewed. The only evidence-based guideline for feeding critically ill patients that had been validated in an RCT was identified (Martin et al. 2004). When evaluated in a cluster randomised trial including 499 patients from 14 hospitals, the adoption of this guideline resulted in a 10% reduction in mortality (p= 0.058) and an average decrease in hospital stay of 10 days (p=0.003). The process and evidence used to support and update this guideline is presented in this document. The final ratified guideline was evaluated in a 27 hospital cluster randomised trial conducted in Australia and New Zealand.
Nutrition Support for the Critically Ill
This text provides a review of the current knowledge in both the mechanics of nourishing the critically ill and the metabolic and immunological roles nutrients play. In-depth chapters discuss disease-related malnutrition as distinct from under-or-over nourishment and the impact of nourishment in either form of malnutrition. The appropriate timing and indications for nutrition support are provided as well as advanced techniques for improving practice. A broad range of issues related to interdisciplinary practice are addressed. Useful for a wide variety of practitioners, including ICU doctors, hospitalists, and nutrition support physicians, Nutrition Support of the Critically Ill provides practical bedside advice and simplified recommendations for practice.
Evidence-Based Practice of Critical Care E-Book
Author: Clifford S. Deutschman
language: en
Publisher: Elsevier Health Sciences
Release Date: 2015-11-26
Evidence-Based Practice of Critical Care, 2nd Edition, presents objective data and expert guidance on managing critically ill patients in unique question-based chapters that focus on best practices. Now thoroughly updated by Drs. Clifford S. Deutschman, Patrick J. Neligan, and nearly 200 critical-care experts, this highly regarded title remains the only book of its kind that provides a comprehensive framework for translating evidence into practice, making it a valuable resource for both residents and practitioners. Tap into the expertise of nearly 200 critical-care experts who discuss the wide variety of clinical options in critical care, examine the relevant research, and provide recommendations based on a thorough analysis of available evidence. Think through each question in a logical, efficient manner, using a practical, consistent approach to available management options and guidelines. Find the information you need quickly with tables that summarize the available literature and recommended clinical approaches. Navigate a full range of challenges from routine care to complicated and special situations. Stay up to date with new issues and controversies such as the redefinition of sepsis • changing approaches to fluid administration • immune suppression in sepsis • monitoring the microcirculation • the long-term sequelae of critical illness • minimizing ventilator associated lung injury • the benefits of evidence-based medicine management guidelines • rapid response teams • and more. Benefit from all-new sections covering persistent critical illness and the role of advanced practice nurses and physician assistants in the ICU.